Pediatric urologist
Pediatric urology is a highly specialized field of medicine that deals with the diagnosis, treatment, and prevention of genitourinary diseases in children from birth to 18 years of age. A visit to a pediatric urologist is an important step toward maintaining a child's health, as timely detection and treatment of urological pathologies helps avoid serious complications in the future. In Moscow, a pediatric urologist with many years of experience is available for consultation at the K+31 Clinic.
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Diseases treated by a pediatric urologist
A qualified pediatric urologist in Moscow treats a range of conditions, the most common of which are:
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Congenital anomalies of the urinary system:
- Hydronephrosis: dilation of the renal pelvis caused by obstruction of urine outflow
- Vesicoureteral reflux: backflow of urine from the bladder into the ureters and kidneys
- Ureterocele: cystic dilation of the intravesical portion of the ureter
- Bladder exstrophy: a rare congenital condition in which the bladder is located outside the body
- Hypospadias and epispadias: developmental anomalies of the urethra
- Cryptorchidism: undescended testicle Scrotum
- Varicocele: dilation of the veins of the spermatic cord
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Inflammatory diseases:
- Cystitis: inflammation of the bladder
- Pyelonephritis: inflammation of the renal pelvis and renal parenchyma
- Urethritis: inflammation of the urethra
- Orchitis and epididymitis: inflammation of the testicle and its epididymis
- Balanitis and balanoposthitis: inflammation of the glans penis and foreskin
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Functional disorders:
- Neurogenic bladder: bladder dysfunction caused by damage to the nervous system
- Enuresis: urinary incontinence
- Daytime urinary incontinence: involuntary urination during the day
- Urolithiasis: kidney and urinary tract stones
- Urogenital injuries
A visit to a urologist will help determine an accurate diagnosis and prescribe effective treatment.
Characteristics of the children's genitourinary system
The genitourinary system of a child has a number of significant differences from that of an adult, which requires a special approach to diagnosis and treatment.
Immaturity of organs
In newborns and young children, the kidneys, ureters, and bladder are not yet fully formed. Their functional activity is lower than in adults, making them more vulnerable to infections and other pathologies.
Hypersensitivity
Children's genitourinary organs are more sensitive to external factors, including hypothermia, infections, and poor nutrition.
Rapid growth and development
A child's genitourinary system is actively growing and developing, which can influence the manifestation and progression of diseases. Some pathologies that manifest acutely in adults may be latent or atypical in children.
Anatomical features
Boys and girls have their own anatomical features that may predispose them to certain urological problems. For example, girls are more likely to experience ascending urinary tract infections due to their shorter urethra.
Psychological factor
A child's emotional state plays a significant role in the development and progression of urological diseases. Stress and fear can aggravate symptoms and complicate treatment.
Understanding these factors allows a urologist to conduct an adequate diagnosis and select the most effective treatment, taking into account the child's age, individual characteristics, and psychological state.
When does a child need a consultation with a pediatric urologist?
Parents should pay close attention to any changes in their child's behavior and well-being. A consultation with a pediatric urologist is necessary in the following cases:
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Urinary problems:
- Frequent, painful urination, especially with small amounts of urine
- Difficulty urinating, intermittent urine stream
- Urinary incontinence (enuresis) after 5 years of age, especially if it occurs suddenly or is accompanied by other symptoms.
- Daytime urinary incontinence
- Change in urine color, odor, or clarity (appearance of blood, turbidity)
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Pain:
- Pain in the lower abdomen, lower back, or perineum
- Pain when urinating
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Changes in the genitals in boys:
- Absence of testicles in the scrotum (cryptorchidism)
- Abnormal position of the urethral opening (hypospadias, epispadias)
- Swelling, redness, or pain in the genital area
- Change in the size or shape of the testicles
- Hydrocele Testicle (hydrocele)
- Inguinal hernia
- Physiological phimosis that does not resolve with age or causes complications
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Changes in the genitals in girls:
- Adhesion of the labia minora (synechiae)
- Vaginal discharge
- Redness, itching, discomfort in the genital area
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General symptoms:
- Unexplained fever, especially accompanied by chills and weakness
- Failure to thrive
- Suspected congenital anomalies of the genitourinary system, detected by ultrasound during pregnancy
If your child exhibits these symptoms, you should immediately make an appointment with a pediatric urologist. Early diagnosis and prompt treatment will help avoid complications and ensure your child's healthy development.
Diagnosis of urological diseases in children
Comprehensive diagnostics of urological diseases in children at the K+31 clinic includes:
- History and physical examination: The urologist carefully listens to the parents and child's complaints, asks questions about past illnesses, heredity, and developmental characteristics. The urologist conducts a thorough examination, assesses the condition of the genitourinary system, and identifies any visible abnormalities.
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Laboratory tests:
- Urinalysis (UA): helps identify signs of inflammation, the presence of protein, sugar, red blood cells, and white blood cells.
- Urine culture: determines the type of infectious agent and its sensitivity to antibiotics.
- Blood chemistry: assesses kidney function, electrolyte levels, and inflammatory markers.
- Urinalysis according to Nechiporenko and Zimnitsky: helps clarify the nature of changes in the urine.
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Instrumental examination methods:
- Ultrasound of the kidneys and bladder: a safe and informative method that allows you to assess the size and structure of organs, the presence of stones, cysts, and developmental anomalies.
- Doppler sonography of the renal vessels: examines blood flow in the kidneys, identifies abnormalities.
- Survey and excretory urography: X-ray examinations with a contrast agent that allow you to assess the anatomy and function of the urinary tract.
- Cystography: X-ray examination of the bladder.
- Cystoscopy: endoscopic examination of the bladder, performed when necessary.
- Uroflowmetry: a method for assessing the speed of urine flow during urination, helps identify urodynamic abnormalities.
- Computed tomography (CT) and magnetic resonance imaging MRI: High-precision imaging techniques used for detailed organ visualization in complex cases or suspected tumors.
After a thorough examination, a urologist establishes an accurate diagnosis and develops a personalized treatment plan.
General information
Treatment of urological diseases in children
Treatment of urological diseases in children at the K+31 Clinic is always individualized and depends on the diagnosis, the child's age, the stage of the disease, and any associated pathologies. Both conservative and surgical methods are used.
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Conservative treatment:
- Drug therapy: includes the use of antibiotics (for infections), anti-inflammatory drugs, antispasmodics, uroseptics, and medications that improve microcirculation.
- Physiotherapy: Various physiotherapy procedures (electrophoresis, UHF, magnetic therapy, laser therapy) may be prescribed to relieve inflammation, reduce pain, improve circulation, and accelerate tissue regeneration.
- Diet therapy: For certain conditions, such as urolithiasis, a special diet is prescribed aimed at changing the pH of the urine and preventing stone formation.
- Regimen recommendations: adherence to a drinking regimen, urination regimen, avoiding hypothermia.
- Physical therapy (PT) and massage: may be recommended for functional disorders. For example, with neurogenic bladder
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Surgical treatment:
- Minimally invasive surgeries: Many urological surgeries in children are performed using endoscopic and laparoscopic techniques, which minimizes trauma, shortens the recovery period, and reduces the risk of complications.
- Open surgeries: In some cases, with complex congenital anomalies or large tumors, open surgery may be required.
- Correction of congenital anomalies: surgical treatment of cryptorchidism, hypospadias, vesicoureteral reflux, hydronephrosis, and other pathologies.
- Stone removal: For urolithiasis, lithotripsy (stone crushing) or surgical removal can be used.
- Varicocele treatment: surgical intervention to correct dilation Spermatic cord veins
The pediatric urologist is highly qualified and has extensive experience performing surgeries on children, ensuring safe and effective treatment. The clinic offers a comprehensive approach, where each child receives individualized attention and care.
Consultation with a pediatric urologist
This includes an initial examination, medical history, and recommendations for further diagnosis and treatment. This is the first and most important step.
Diagnostic Tests
Laboratory tests (urinalysis, urine culture, blood biochemistry, etc.) and instrumental tests (ultrasound, uroflowmetry, CT, MRI) are charged separately.
Treatment Procedures
The cost of conservative treatment (physiotherapy, medication) and surgical interventions depends on the complexity and scope of the procedures.
Follow-up Appointment
A follow-up examination and treatment adjustment after diagnostic or therapeutic procedures.
Current prices for services can be found on the K+31 Clinic website or by phone. We are always ready to provide detailed information about the cost of your upcoming treatment and answer all your questions.
Schedule an appointment today!
FAQ
Are heredity and urology related?
Some problems (anomalies, stones) can be inherited.
What harms a child's genitourinary system?
Patience, insufficient fluid intake, tight underwear, poor hygiene.
Do girls need a urologist?
Yes, for problems with urination and inflammation.
What foods trigger problems?
Excess salt, hot spices, soda, and certain foods predisposing to stones.
Can excess weight cause urological diseases?
Yes, it increases the risks and exacerbates problems.
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What is pediatric urology?
Pediatric urology is a field of medicine that covers a wide range of issues related to developmental abnormalities, inflammatory processes, injuries, and functional disorders of the urinary and reproductive systems in children. Unlike adult urology, it takes into account the characteristics of a growing body, the constantly changing physiological processes, and the psycho-emotional state of a young patient.
A pediatric urologist possesses in-depth knowledge in pediatrics, pediatric surgery, and endocrinology, allowing them to take a comprehensive approach to problem-solving. This specialist not only treats existing conditions but also provides preventative care aimed at preventing the development of chronic pathologies that can negatively impact a child's quality of life in the future.